The role of age in treatment-related adverse events in patients with head and neck cancer: A systematic review.


Journal

Head & neck
ISSN: 1097-0347
Titre abrégé: Head Neck
Pays: United States
ID NLM: 8902541

Informations de publication

Date de publication:
07 2019
Historique:
received: 08 04 2018
revised: 03 01 2019
accepted: 24 01 2019
pubmed: 10 2 2019
medline: 18 11 2020
entrez: 10 2 2019
Statut: ppublish

Résumé

Head and neck squamous cell carcinoma (HNSCC) is often diagnosed in advanced stage and therefore requires aggressive, multimodal treatment. Elderly patients are often excluded from standard therapy regimens purely based on age. This clinical review aims to collect all published data in the literature on treatment modality selection in elderly patients and on age-related adverse events following treatment of HNSCC. We performed a literature search for articles on the treatment of HNSCC in elderly patients. Most of the articles were retrospective studies with the consequent limitations. It can be concluded that age is not an absolute contraindication for intensive treatment and comorbidity is an important predictor of outcome, but not the only one. Despite the existence of multiple tools for pretreatment evaluation, there are not consistent data on their use.

Identifiants

pubmed: 30737976
doi: 10.1002/hed.25696
doi:

Types de publication

Journal Article Systematic Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

2410-2429

Informations de copyright

© 2019 Wiley Periodicals, Inc.

Auteurs

Andrés Coca-Pelaz (A)

Department of Otolaryngology, Hospital Universitario Central de Asturias, Oviedo, Spain.

Gyorgy B Halmos (GB)

Department of Otorhinolaryngology - Head and Neck Surgery, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands.

Primož Strojan (P)

Department of Radiation Oncology, Institute of Oncology, Ljubljana, Slovenia.

Remco de Bree (R)

Department of Head and Neck Surgical Oncology, UMC Utrecht Cancer Center, University Medical Center Utrecht, Utrecht, The Netherlands.

Paolo Bossi (P)

Medical Oncology, Department of Medical and Surgical Specialties, Radiological Sciencesand Public HealthUniversity of Brescia, ASST-Spedali Civili, Brescia, Italy.

Carol R Bradford (CR)

Department of Otolaryngology - Head and Neck Surgery, University of Michigan, Ann Arbor, Michigan.

Alessandra Rinaldo (A)

University of Udine School of Medicine, Udine, Italy.

Vincent Vander Poorten (V)

Otorhinolaryngology - Head and Neck Surgery and Department of Oncology, Section Head and Neck Oncology, University Hospitals Leuven, KU Leuven, Leuven, Belgium.

Alvaro Sanabria (A)

Department of Surgery, School of Medicine, Universidad de Antioquia, Clínica Vida, Medellín, Colombia.

Robert P Takes (RP)

Department of Otolaryngology - Head and Neck Surgery, Radboud University Medical Center, Nijmegen, The Netherlands.

Alfio Ferlito (A)

International Head and Neck Scientific Group, Padua, Italy.

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Classifications MeSH